Deficiency Records for Mission Point Nsg and Phy Rehab Ctr of Roscommon
Updated as of April 01, 2024
A list of the most recent deficiencies for Mission Point Nsg and Phy Rehab Ctr of Roscommon. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-07 | 2023-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-07 | 2023-05-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-01-25 | 2022-03-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-26 | 2022-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-26 | 2022-02-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-01-26 | 2022-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-26 | 2022-02-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-25 | 2022-02-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-01-25 | 2022-02-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-25 | 2022-02-28 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-01-25 | 2022-02-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-25 | 2022-02-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-25 | 2022-02-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-01-25 | 2022-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-25 | 2022-02-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-13 | 2020-03-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-13 | 2020-03-18 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-02-13 | 2020-03-18 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-02-13 | 2020-03-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-18 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-02-13 | 2020-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-11 | 2020-03-18 | N |
